Contraindications

Question 1

Magnesium sulfate (Contraindications)

Answer 1

Hemodynamicallly significant heart block

Question 2

Naloxone (Contraindications)

Answer 2

None in EMS

Question 3

Ibuprofen (Contraindications)

Answer 3

Known hypersensitivity to drug or NSAIDs
Unprotected airway
Bleeding disorders
Peptic ulcer disease

Question 4

Acetaminophen/ APAP (Contraindications)

Answer 4

Patient cannot protect their airway
Know hypersensitivity
Severe hepatitc disease

Question 5

Dexamethasone (Contraindications)

Answer 5

Known hypersensitivity

Question 6

Vasopressin (Contraindications)

Answer 6

Not recommended for PEDs

Question 7

Racemic epinephrine (Contraindications)

Answer 7

None in EMS

Question 8

Ipratropium bromide (Contraindications)

Answer 8

Known hypersensitivity

Question 9

Nitrous oxide 50% (Contraindications)

Answer 9

Patient cannot understand verbal instructions for use of the drug
Alcohol intoxication
Head injury
Abdominal pain and distention

Question 10

Phenylephrine nasal spray 0.5% (Contraindications)

Answer 10

Known hypersensitivity

Question 11

0.9% sodium chloride solution (Contraindications)

Answer 11

Circulatory overload with CHF
trauma in pregnancy
burn injury

Question 12

5% dextrose in water (Contraindications)

Answer 12

Fluid replacement in hypovolemia

Question 13

Lactated Ringer’s solution (Contraindications)

Answer 13

Circulatory overload with CHF

Question 14

Tetracaine (Contraindications)

Answer 14

Known hypersensitivity, not recommended for PEDs

Question 15

Pralidoxime chloride (2-Pam) (Contraindications)

Answer 15

None in EMS, not recommended for PEDs

Question 16

Proparacaine ophthalmic solution 0.5% (Contraindications)

Answer 16

Known hypersensitivity

Question 17

Calcium gluconate 2.5% topical gel (Contraindications)

Answer 17

None in EMS

Question 18

Oxytocin (Contraindications)

Answer 18

Known hypersensitivity
Presence of a fetus with impending delivery
Not recommended for PEDs

Question 19

Verapamil (Contraindications)

Answer 19

Known hypersensitivity
Hypotension
Myocardial infarction
Cardiogenic shock
V-TACH
Second or third degree heart block
WPW
Not recommended for PEDs

Question 20

Morphine sulfate (Contraindications)

Answer 20

Known hypersensitivity
Head injury
Decrease LOC
Hypotension

Question 21

Calcium gluconate (Contraindications)

Answer 21

Known hypersensitivity
digoxin (Lanoxin) toxicity

Question 22

Hydroxocobalamin (Contraindications)

Answer 22

None in EMS

Question 23

Lorazepam (Contraindications)

Answer 23

Known hypersensitivity

Question 24

Methylprednisolone (Contraindications)

Answer 24

None in EMS

Question 25

Glucagon (Contraindications)

Answer 25

Known hypersensitivity

Question 26

Activated Charcoal (Contraindications)

Answer 26

Patients cannot protect their airway Ingestion of caustics, hydrocarbons, acids, corrosives, cyanide, solvents, iron,. Lithium, lead, petroleum products

Question 27

Diltiazem (Contraindications)

Answer 27

Known hypersensitivity Hypotension Myocardial infarction Cardiogenic shock V-TACH Second or third degree heart block WPW Not recommended for PEDs

Question 28

Dopamine (Contraindications)

Answer 28

Hypovolemic shock

Question 29

Etomidate (Contraindications)

Answer 29

Known hypersensitivity

Question 30

Furosemide (Contraindications)

Answer 30

Hypotension hypovolemia

Question 31

Lidocaine (Contraindications)

Answer 31

Known hypersensitivity PVC in conjunction with bradycardia Second or third degree heart block

Question 32

Ketamine (Contraindications)

Answer 32

Known hypersensitivity Not recommended for PEDs

Question 33

Midazolam (Contraindications)

Answer 33

Known sensitivity

Question 34

Norepinephrine (Contraindications)

Answer 34

Hypotension caused by hypovolemia

Question 35

Fentanyl (Contraindications)

Answer 35

Known hypersensitivity Head injury Decreased level of consciousness Respiratory arrest Hypotension

Question 36

Rocuronium (Contraindications)

Answer 36

Known hypersensitivity

Question 37

Sodium bicarbonate 7.5-8.4% (Contraindications)

Answer 37

None in EMS

Question 38

Nitroglycerin (Contraindications)

Answer 38

Hypotension Hypovolemia Patient has taken ED drugs in last 48 hours (Viagra, Cialis, Levitra) and other phosphodiesterase-5 inhibitor medications Not recommended for PEDs

Question 39

Acetylsalicylic acid/ASA (Contraindications)

Answer 39

Known hypersensitivity Not recommended for PEDs

Question 40

Oxygen (Contraindications)

Answer 40

Oxygen supports combustion for ignition source

Question 41

Dipphenhydramine (Contraindications)

Answer 41

Known hypersensitivity

Question 42

Epinephrine (Contraindications)

Answer 42

None in EMS

Question 43

Albuterol sulfate (Contraindications)

Answer 43

Known hypersensitivity

Question 44

Ondansetron (Contraindications)

Answer 44

Known hypersensitivity

Question 45

Adenosine (Contraindications)

Answer 45

A-FIB A-Flutter Torsades Second or third degree heart block WPW

Question 46

Calcium chloride (Contraindications)

Answer 46

None in EMS

Question 47

Amiodarone (Contraindications)

Answer 47

Cardiogenic shock Bradycardia Second or third degree heart block Hypotension

Question 48

Bumetanide (Contraindications)

Answer 48

Hypotension or hypovolemia Not recommended for PEDs

Question 49

Oral glucose (Contraindications)

Answer 49

Patient cannot protect airway Nausea Vomiting

Question 50

Dextrose 50% (Contraindications)

Answer 50

Head injury

Question 51

Diazepam (Contraindications)

Answer 51

Known sensitivity Head injury

Question 52

Thiamine (Contraindications)

Answer 52

None in EMS

Question 53

Atropine sulfate (Contraindications)

Answer 53

Known hypersensitivity Tachycardia Hypothermia-induced bradycardia

Question 54

Succinylcholine (Contraindications)

Answer 54

Known hypersensitivity